Ukuqonda uTyando loMnqonqo weLaser: Indlela eNcinci kakhulu

Kubantu abaye bagqiba zonke ezinye iindlela zonyango kwiintlungu ezisezantsi kunye nokunyanzeliswa kweengcambu ze-nerve, ngaba utyando lwe-laser spine lunokunceda ukunciphisa uxinzelelo lwe-nerve kunye nokubonelela ngesiqabu sentlungu ehlala ixesha elide?

Laser Spine Surgery

Utyando lweLaser spine luyinkqubo yotyando eyingozi encinci esebenzisa i-laser ukunqumla kunye nokususa izakhiwo zomqolo ezicinezela imithambo-luvo kwaye zibangele iintlungu ezibukhali. Inkqubo encinci ye-invasive idla ngokubangela intlungu encinci, umonakalo wezicubu, kunye nokuchacha ngokukhawuleza kunotyando olubanzi.

Ingaba isebenza kanjani

Iinkqubo ezincinci eziphazamisayo zibangela ukutshatyalaliswa okuncinci kunye nomonakalo kwizakhiwo ezijikelezileyo, zihlala zinciphisa iimpawu zentlungu kunye nexesha elifutshane lokubuyisela. (Stern, J. 2009) Iziqendu ezincinci zenziwa ukufikelela kwizakhiwo zekholomu yomgogodla. Ngotyando oluvulekileyo, i-incision enkulu yenziwa ezantsi ngasemva ukufikelela kumqolo. Utyando lwahlukile kolunye utyando kuba umqa welaser, endaweni yezinye izixhobo zotyando, usetyenziselwa ukusika izakhiwo kumqolo. Nangona kunjalo, i-scalpel yokuqala yesikhumba yenziwa nge-scalpel yotyando. I-Laser sisishunqulelo se-Light Amplification evuselelwe kukukhutshwa kweRadiation. I-laser inokuvelisa ubushushu obukhulu ukusika izihlunu ezithambileyo, ngakumbi ezo zinomxholo ophezulu wamanzi, njengeediski zekholamu yomgogodla. (Stern, J. 2009) Kutyando oluninzi lomqolo, i-laser ayinakusetyenziselwa ukusika ithambo njengoko ivelisa iintlantsi ezikhawulezayo ezingonakalisa izakhiwo ezingqongileyo. Kunoko, utyando lwe-laser spine lusetyenziselwa ukwenza i-discectomy, yindlela yokuhlinzwa esusa inxalenye ye-disc bulging okanye i-herniated disc etyhala kwiingcambu ze-nerve ezijikelezayo, ezibangela ukunyanzeliswa kwe-nerve kunye nentlungu ye-sciatic. (Stern, J. 2009)

Imingcipheko yotyando

Utyando lwe-Laser spine lunokunceda ukusombulula unobangela wokunyanzeliswa kweengcambu zemithambo-luvo, kodwa kukho umngcipheko owongezelelweyo womonakalo kwizakhiwo ezikufutshane. Imingcipheko enxulumeneyo ibandakanya: (Brouwer, PA et al., 2015)

• Sulelo
• Ukuhlamba
• Amacandelo egazi
• Iimpawu eziseleyo
• Ukubuyisela iimpawu
• Umonakalo ongakumbi we-nerve
• Umonakalo kwi-membrane ejikeleze intambo yomgogodla.
• Kufuneka utyando olongezelelweyo

I-laser beam ayichanekanga njengezinye izixhobo zotyando kwaye ifuna ukuziqhelanisa nolawulo lokuthintela umonakalo kwintambo yomqolo kunye neengcambu zemithambo-luvo. (Stern, J. 2009) Ngenxa yokuba iilaser zingakwazi ukunqumla amathambo, ezinye izixhobo zotyando zisoloko zisetyenziswa kwiikona nakwii-engile ezahlukeneyo kuba zisebenza kakuhle kwaye zivumela ukuchaneka okukhulu. (Ubuchopho be-Atlantic kunye noMnqonqo, ngo-2022)

Injongo

Utyando lweLaser spine lwenziwa ukususa izakhiwo ezibangela uxinzelelo lweengcambu zemithambo-luvo. Uxinzelelo lweengcambu zemithambo-luvo lunxulunyaniswa nezi meko zilandelayo (Iklinikhi yaseCleveland. 2018)

• Iidiski zokukhupha
• Iidiski zeHerniated
• Sciatica
• I stenosis
• Isisu sentambo

Iingcambu zemithambo-luvo ezonzakeleyo okanye ezonakaliswe kwaye zihlala zithumela imiqondiso yeentlungu ezingapheliyo zinokucinywa ngotyando lwe-laser, olubizwa ngokuba yi-nerve ablation. I-laser iyatshisa kwaye itshabalalise i-nerve fibers. (Stern, J. 2009) Ngenxa yokuba utyando lwe-laser spine lulinganiselwe ekunyangeni iziphazamiso ezithile zomnqonqo, uninzi lweenkqubo zomnqonqo ezincinci azisebenzisi i-laser. (Ubuchopho be-Atlantic kunye noMnqonqo. 2022)

Ukulungiselela

Iqela lotyando liza kunika imiyalelo ethe kratya malunga nokuba wenze ntoni ngeentsuku kunye neeyure ngaphambi kotyando. Ukukhuthaza ukuphiliswa okuphezulu kunye nokuchacha okugudileyo, kucetyiswa ukuba isigulana sihlale sisebenza, sitye ukutya okunempilo, kwaye siyeke ukutshaya phambi kotyando. Abantu banokudinga ukuba bayeke ukuthatha amayeza athile ukuthintela ukopha kakhulu okanye ukusebenzisana ne-anesthesia ngexesha lotyando. Yazisa umboneleli wezempilo malunga nayo yonke imimiselo, amayeza athengiswayo, kunye nezongezo ezithathwayo.

Uqhaqho lweLaser spine yinkqubo yezigulane ezingalaliswanga esibhedlele okanye kwiziko lotyando labangaphandle. Isigulana kusenokwenzeka ukuba sigoduke kwangolo suku lunye lotyando. (Iklinikhi yaseCleveland. 2018) Abaguli abakwazi ukuqhuba ukuya okanye ukubuya esibhedlele ngaphambi okanye emva kotyando lwabo, ngoko lungiselela ukuba intsapho okanye abahlobo balungiselele isithuthi sabo. Ukunciphisa uxinzelelo kunye nokubeka phambili impilo enempilo yengqondo kunye neemvakalelo kubalulekile ekunciphiseni ukuvuvukala kunye nokunceda ukubuyiswa. Impilo isigulane siya kuqhaqho, kokukhona kuya kuba lula ukuchacha nokubuyisela kwisimo sangaphambili.

Lindele

Utyando luya kugqitywa sisigulana kunye nomboneleli wezempilo kwaye lucwangciswe esibhedlele okanye kwiziko lotyando labangaphandle. Lungiselela ukuba umhlobo okanye ilungu losapho liqhube ukuya kuqhaqho kunye nekhaya.

Phambi koTyando

• Isigulane siya kuthathwa kwigumbi langaphambi kokuhlinzwa kwaye sicelwe ukuba sitshintshe ibe yingubo.
• Isigulana siya kuvavanywa ngomzimba omfutshane kwaye siphendule imibuzo malunga nembali yonyango.
• Isigulana silala ebhedini yasesibhedlele, kwaye umongikazi ufaka i-IV ukuze azise amayeza kunye nolwelo.
• Iqela lotyando liya kusebenzisa ibhedi yesibhedlele ukuthutha isigulane ngaphakathi nangaphandle kwigumbi lotyando.
• Iqela lotyando liya kunceda isigulane ekungeneni kwitafile yokusebenza, kwaye isigulane siya kulawulwa i-anesthesia.
• Isigulana sinokufumana I-anesthesia ngokubanzi, eya kubangela ukuba isigulane silale ngenxa yotyando, okanye i-anesthesia yengingqi, itofwe kumqolo ukuze iphazamise indawo echaphazelekayo. (Iklinikhi yaseCleveland. 2018)
• Iqela elityandayo liya kucoca ulusu apho kuya kwenziwa khona utyando.
• Isisombululo esibulala amagciwane siya kusetyenziswa ukubulala ibhaktheriya kunye nokuthintela umngcipheko wosulelo.
• Wakuba uhlanjululwe, umzimba uya kugqunywa ngeelinen ezicociweyo ukugcina indawo yotyando icocekile.

Ngexesha Lotyando

• Kwi-discectomy, ugqirha uya kwenza i-incision encinci ngaphantsi kwe-intshi enye ubude kunye ne-scalpel ecaleni komqolo ukufikelela kwiingcambu ze-nerve.
• Isixhobo sotyando esibizwa ngokuba yi-endoscope yikhamera efakwe kwindawo yokusikwa ukujonga umnqonqo. (Brouwer, PA et al., 2015)
• Nje ukuba isahlulo sediski esinengxaki esibangela ukunyanzeliswa sikhona, i-laser ifakwe ukunqumla kuyo.
• Isahlulo se-disc esinqunyiwe siyasuswa, kwaye indawo yokucima i-sutured.

Emva kotyando

• Emva kokuhlinzwa, isigulane siziswa kwigumbi lokubuyisela, apho iimpawu ezibalulekileyo zijongwa njengemiphumo ye-anesthesia iphelile.
• Zakuba zizinzile, isigulana sinokubuyela ekhaya kwiyure enye okanye ezimbini emva kotyando.
• Ugqirha wotyando uya kugqiba xa umntu ecacile ukuba angaphinda aqalise ukuqhuba.

ukuchacha

Ukulandela i-discectomy, umntu unokubuyela emsebenzini kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa, kuxhomekeke kubunzima, kodwa kunokuthatha ukuya kwiinyanga ezintathu ukubuyela kwimisebenzi eqhelekileyo. Ubude bexesha lokuchacha bunokususela kwiiveki ezimbini ukuya kwezine okanye ngaphantsi ukuze uqalise kwakhona umsebenzi wokungaphumli okanye iiveki ezisibhozo ukuya kwezili-12 ukuze ufumane umsebenzi onzima ngakumbi ofuna ukuphakanyiswa. (IYunivesithi yaseWisconsin yeSikolo soNyango kunye neMpilo yoLuntu, ngo-2021) Kwiiveki ezimbini zokuqala, isigulane siya kunikwa izithintelo ukuze kube lula ukuphilisa umqolo de ube uzinzile. Izithintelo zinokubandakanya: (IYunivesithi yaseWisconsin yeSikolo soNyango kunye neMpilo yoLuntu, ngo-2021)

• Akukho kugoba, ukujija, okanye ukuphakamisa.
• Akukho msebenzi unzima womzimba, kubandakanywa umthambo, umsebenzi wasekhaya, umsebenzi waseyadini, kunye nokwabelana ngesondo.
• Akukho utywala kwinqanaba lokuqala lokubuyisela okanye ngelixa uthatha amayeza eentlungu ze-narcotic.
• Akukho kuqhuba okanye ukusebenzisa isithuthi de uxoxwe nogqirha wotyando.

Umboneleli wezempilo unokucebisa ulungiso lwenyama ukuphumla, ukomeleza, kunye nokugcina impilo ye-musculoskeletal. Unyango lomzimba lunokuba kabini ukuya kathathu ngeveki kwiiveki ezine ukuya kwezintandathu.

inkqubo

Iingcebiso ezifanelekileyo zokubuyisela zibandakanya:

• Ukulala ngokwaneleyo, ubuncinane iiyure ezisixhenxe ukuya kwezisibhozo.
• Ukugcina isimo sengqondo esifanelekileyo kunye nokufunda indlela yokuhlangabezana nokulawula uxinzelelo.
• Ukugcina amanzi emzimbeni.
• Ukulandela inkqubo yokuzivocavoca njengoko kumiselwe ngugqirha womzimba.
• Ukuziqhelanisa nokuma okunempilo kunye nokuhlala, ukuma, ukuhamba kunye nokulala.
• Ukuhlala usebenza kunye nokunciphisa ixesha elichithwe uhleli. Zama ukuvuka uhambe nganye ukuya kwiiyure ezimbini emini ukuze uhlale usebenza kwaye uthintele amahlwili egazi. Yandisa ngokuthe ngcembe ixesha okanye umgama njengoko kuqhubeka ukuchacha.
• Musa ukutyhala ukwenza kakhulu ngokukhawuleza. Ukugqithisa kakhulu kunokunyusa intlungu kunye nokulibazisa ukubuyiswa.
• Ukufunda iindlela ezichanekileyo zokuphakamisa ukusebenzisa i-core kunye nemisipha yomlenze ukukhusela ukunyuka koxinzelelo kumqolo.

Xoxa ngeendlela zonyango zokulawula iimpawu kunye nomboneleli wezempilo okanye ingcali ukuze unqume ukuba utyando lwe-laser spine lufanelekile. Izicwangciso zokhathalelo lwezonyango lweChiropractic kunye neFunctional Medicine Clinic kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. UDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaphengululi, abaqeqeshi, kunye nabanikezeli be-premiere rehabilitation. Sigxininise ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokulimala kunye nokulimala kwezicubu ezithambileyo usebenzisa iiProtocol eziKhethekileyo zeChiropractic, iiNkqubo zeNtlalontle, iZondlo eziSebenzayo kunye nokudibanisa, uBuchule kunye nokuhamba koQeqesho lokuQinisekisa, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. Imimandla yethu yokuziqhelanisa ibandakanya i-Wellness & Nutrition, Intlungu engapheliyo, ukwenzakala komntu, ukuKhathalelwa kweNgozi ye-Auto, ukwenzakala komsebenzi, ukwenzakala ngasemva, iintlungu ezisezantsi, iintlungu zentamo, iMigraine Headaches, i-Sciatica enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia, i-Chronic Iintlungu, Ukwenzakala Okuntsonkothileyo, Ulawulo Loxinzelelo, Unyango Lwezonyango olusebenzayo, kunye neeprotokholi zokhathalelo olukwi-scope.

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Indlela engeyiyo Utyando

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Ucaphulo

Stern, J. SpineLine. (2009). IiLasers kwiSpine Surgery: Uphononongo. Iingcamango zangoku, i-17-23. www.spine.org/Portals/0/assets/downloads/KnowYourBack/LaserSurgery.pdf

Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). I-Percutaneous laser disc decompression ngokuchasene ne-microdiscectomy eqhelekileyo kwi-sciatica: uvavanyo olulawulwa ngokungahleliwe. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spinee.2015.01.020

Ubuchopho be-Atlantic kunye noMnqonqo. (2022). INyaniso malunga neLaser Spine Surgery [2022 Update]. Atlantic Brain kunye Spine Blog. www.brainspinesurgery.com/blog/the-truth-about-laser-spine-surgery-2022-update?rq=Laser%20Spine%20Surgery

Iklinikhi yaseCleveland. (2018). Ngaba iLaser Spine Surgery ingalungisa iintlungu zakho zangasemva? health.clevelandclinic.org/can-laser-spine-surgery-fix-your-back-pain/

IYunivesithi yaseWisconsin yeSikolo soNyango kunye neMpilo yoLuntu. (2021). Imiyalelo yoLondolozo lweKhaya emva kweLumbar Laminectomy, i-Decompression okanye i-Discectomy Surgery. patient.uwhealth.org/healthfacts/4466